DML Mobile Anesthesia , LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01030689A Issued in IN

Legal business name

DML MOBILE ANESTHESIA , LLC

Practice address

321 E Wayne St
Fort Wayne, IN 46802-2713

Phone

(260) 424-5656

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald M. Lane, M.D.

Title

President

Phone

(765) 622-8137

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457555229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N RILEY RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043852",
            "telephone_number": "765-284-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DML MOBILE ANESTHESIA , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-622-8137",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01030689A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Dixie
• Rachele A Dixie, MA
• Raphilla D Dixie
• Bethany Dixon
• Brandi Dixon, RBT
• Justin Khoi DO
• Alyssa Doak, NNP-BC
• Cheryl Doan
• Melissa Doan
• Carrie Dobbins, AGNP

• Anesthesiology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.